Facelift (Rhytidectomy)

Human skin begins to sag with the effect of gravity and the contribution of physical factors. Stress, sunlight, environmental and genetic factors are among the effects that accelerate the aging process. In addition, the reduction of the subcutaneous fat tissue with the progression of age causes wrinkles on the face.

The face is structurally composed of 3 different regions . Upper face; temples, forehead, and eyebrows. Interventions to this area are called upper face lift. The middle face includes the eye and cheek region. Interventions to this area are called the mid-face lift. The lower face covers the chin and neck region, the neck or lower face is called the stretching process. Surgical intervention can be performed individually or at once.

What are the factors that cause the deterioration of the aesthetic appearance of the face?

Age development, genetic predisposition, effects of gravity, intense direct contact with harmful sunlight, smoking and frequent weight loss, Apart from all these, stressful work and lifestyle, excessive use of mimicry and being at the computer continuously causes the aesthetic appearance of the face to deteriorate.

Who is Suitable for Face Lift Surgery?

The ideal candidates for this surgery are those whose face and neck skin began to sag, but the skin still did not lose its elasticity and had no other serious health problems. There is no age limit for face lift surgery unless general health status impedes surgery. It is generally applied to male and female patients over 40 years of age. It can also be performed in combination with operations such as nose and eyelid aesthetics to make the face look younger during face lift surgery. Injections of fillers (oil, hyaluronic acid, etc.) can be made for existing wrinkles.

Before Surgery

Expectations and requests from face lift surgery should be discussed with the doctor in detail and the results that can be obtained should be evaluated. The doctor should be informed about the drugs used before surgery or the diseases. Since blood thinner-derived drugs used may cause bleeding problems during and after surgery, the doctor should take a break at least 5 days in advance.

There is no age limit for face lift surgery, but it is generally recommended for patients over 50 years.

It is recommended to stop smoking in order to avoid possible problems in the postoperative recovery process.

What are Face Lift and Face Aesthetics Methods?

There are several different methods used in face lifting operations. The choice of method, the patient’s health status, smoking, age, gender, facial aging, skin condition and the structure of the facial bones also play an important role.

First, the deformed areas of the skin of the person and the surgical technique are determined. The main technique in face lift surgery is to lift the sagging skin upwards and bring it back to its original position.

For this reason, technique and incision sites in face lift surgery vary according to the degree of sagging and location.

Classic Face Lift

In classical face lift surgery, the incision starts from the front of the ear and proceeds from behind the ear into the scalp. By entering this area, the skin tissue is removed, the dangling skin, muscle and connective tissues under the skin, ie the sagging connective tissues are suspended by stretching upwards. Excess skin is removed and the process is terminated. In this way, the cheeks, temples and chin-like sagging are eliminated.

In addition, surgical intervention is absolutely combined with other procedures. . For example, if there is a decrease in adipose tissue, the missing parts of that area are completed with adipose tissue itself or some chemicals. In order to prevent wrinkles caused by excessive movement of those muscles from time to time in facial rejuvenation, the most commonly used botox can also be added to the process.

Which Aesthetic Surgery Can Be Combined With Face Lift Surgery?

Depending on the condition of the person, some combined procedures can also be performed in face lift surgeries. It can also be combined with botox, filler, blepharoplasty processes for better results. In addition, it is not a problem when it is performed together with other body aesthetics.

After Surgery

After surgery, the face is swollen up to 1 week and gradually decreases at the end of the first week. It is recommended to apply ice for the first few days to improve swelling and edema more easily and quickly. At the end of the first month, the swollen face almost disappears.

It is recommended that you do not smoke after a face lift as you do after each operation, because smoking can adversely affect the healing of wounds.

After the first 2 months after surgery, direct sun exposure should be avoided.

Very careful use of bandages is necessary to minimize the risk of subcutaneous hemorrhage after surgery. The doctor decides when and how often these bandages are recommended to be used for approximately 3 weeks.

Frequently Asked Questions

Facelift (rhytidectomy) surgery’s goal is improving the general appearance of the face and jaw.

Facelift (rhytidectomy) surgery can help to reduce the harmful effects of time and environmental effects.

There is no set age or profile for those who should consider a facelift. Facelifts can and should be individualized, considering factors including age, body type and size.

Time will depend upon the extent of the procedure. For some patients, mini-facelifts can be done in under two hours.

Standard facelifts usually take three to four hours and may take up to six when combined with eyelid or brow surgery. 

Some swelling and bruising is normal after the facelift surgery, and the surgeon may suggest patient to use cold compresses to keep swelling to a minimum.

In general, noticeable swelling will go down within 2 weeks and patient can return to work in 2 weeks.

Most patients report looking refreshed. A good facelift makes patients look younger rather than “different” or “operated on.” The best facelifts (rhytidectomy) look natural.

The best way to make sure you will still look like yourself is to choose your surgeon carefully.

Real facelift (rhytidectomy) results will last for years, though the longevity depends on several factors including skin quality, significant weight changes and environmental factors such as excessive sun exposure.

Patients with face stretching surgery can continue to their normal lives within a minimum of 1 or 2 days, but the patient needs rest for 7-10 days to remove the bruises and swelling of the coils.

Generally, a facelift is performed using two techniques. The first method is  Lifting of subcutaneous tissue called skin and SMAS, secondly, the  Lifting of facial skin from the outside with the help of ropes. This method is not very permanent but it can respond to short-term requests. Surgically, it is possible to lift the face area by the operations performed from the front and back of the ear. If necessary, removal of the cheekbones and cheeks of the middle face can be done in the procedure. Finally, the forehead region is lifted up with an operation made from the ta-haired region, in which case it is lifted up in the eyebrows.

There are some chemicals used to increase facial tension, and face tension can also be increased with external threads. However, they are not as permanent and effective as surgical methods.

Depending on the condition of the person, some combined procedures can be performed in facelifts. For example, in the cases of aging, the situation that we call fat atrophy occurs, and the fat injections in these areas during the face lifting process are affected. and the wrinkles on the skin are minimized.

Depending on the procedure performed at each surgical operation, a large or small trace remains. The most important point here is to make cuts in the least visible and invisible points. Our greatest advantage in this regard is that the cuts made from the front and back of the ear cannot be seen unless carefully examined.

Skin aging appears on the large organs of the human body more than other organs, Because the skin is more affected by external factors.

Scientific researches shows that environmental factors are the most factors that lead to aging skin.

Also factory fumes, gases from environmental waste, busy work and inactive life leads to skin aging, therefore skin aging is more frequent in people who lives in big cities than people who lives in villages and natural environment.

Genetic factors also affect skin aging, The average age of skin aging can be estimated by looking at the family skin structure.

Even though it is not possible to prevent skin aging but it can be delayed. The ways to delay skin aging are the following:

  • Protection from sunlight
  • Eating foods that contain antioxidants
  • Skin moisturization
  • Drinking a lot of water
  • Stay away from smoking and drinking alcohols.
  • using natural products
  • Smiling and keeping stres out of your lifes.

Facial aging starts at different times and progresses with different speed for each person therefore, there is no best age for face lifting surgery but the recommended lower age limit is 30 years.

Even though  face lifting is the most effective way to rejuvenate the skin, but its effect do not last forever. wrinkles and deformities may start to show again due to aging Therefore, face lifting can be performed again, depending on the patient’s desire.

Slim faces can be filled by injecting fat into the areas that the patient complain about.

the following areas can be corrected by face lift surgery:

  • forehead region
  • brow area
  • around the eyes
  • face temples
  • cheeks
  • çene
  • jaw

Face lift surgery can be repeated after the first time due to aging and skin sagging, but because of the thinness and the very sensitive structures of the skin, the second surgery will be more risky than the first one.

Because of face lift surgeries are mostly performed at an old age and most of old people have heart problems that make them take blood-thinner medicines, these medicines lead to bleeding issues during or after the surgery so taking these medicines must be taken under the supervision of the doctor and the patient must stop taking them before a certain time from the surgery. Also smoking is highly not recommended in the pre-operative period because its adversely affect skin nutrition.

It is necessary to use bandages very carefully to minimize the risk of subcutaneous bleeding after surgery. Other than that, sun protection creams should be used when going out under the sunlight for 3 months after surgery.

Pain is an expected situation after face lift operations. But this pain can be controlled by taking the Analgesics  recommended by your doctor.

The rejuvenation of facial appearance after face lift operations differ depending on the technique used during the operation and the face situtaion before the operation. However, the average expected rejuvenation is between five and ten years.

The goal of facelift surgery is not to remove facial expressions, but in case of excessive lifting during the operaton facial expressions  may be partially wiped out, but the main goal is to lift the face and keep its expressions at the same time.